Individual provider Active NPI

Joanna Christine Costello, LCSW

  • Clinical Social Worker
  • Concord, CA
National Provider Identifier
1144548017
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW29751 Issued in CA
Practice address
4200 Concord Blvd
Concord, CA 94521-1094
Phone
(925) 567-3282
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW 19732 CA
Clinical Social Worker 1041C0700X LCSW29751 CA Primary

Addresses

Primary practice location

4200 Concord Blvd
Concord, CA 94521-1094

Mailing address

1936 Carlotta Dr
Concord, CA 94519
Phone (925) 682-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW 19732CAMDClinical Social Worker
LCSW29751CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Diablo Unified School District CurrentSince Apr 1, 2022 Accepting new patients
Fred Finch Youth Center Clinical PastSince Apr 1, 2022 Accepting new patients
Mt. Diablo Unified School District Past Accepting new patients

Locations

755 Oak Grove Rd
Concord, CA 94518
Phone (925) 685-8414

4200 Concord Blvd
Concord, CA 94521
Phone (573) 228-2045

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1144548017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 CARLOTTA DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94519",
            "telephone_number": "925-682-8000",
            "fax_number": "925-687-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CONCORD BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945211094",
            "telephone_number": "925-567-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "JOANNA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 19732",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW29751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.